Friday 22 February 2002
Written Answers to Questions (Continued)
Health, Social Services and Public
Safety
Donated Assets
Mr M Robinson asked the Minister
of Health, Social Services and Public Safety to detail the level of
hospital equipment that has been provided by charitable organisations.
(AQW 1481/01)
The Minister of Health, Social Services and Public Safety (Ms
de Brún): During the last 10-year period, the net book value
of equipment donated to Health and Social Services Trusts amounted to
£5.5m. Donated assets include those bought with legacies and donations
from individuals in addition to those provided by charitable organisations.
Le 10 bliain anuas, is é luach glan trealaimh de réir
an leabhair a bronnadh ar Iontaobhais Shláinte agus Sheirbhísí
Sóisialta ná £5.5m. San áireamh leis na sócmhainní
bronnta tá iad siúd a ceannaíodh le leagáidí
agus le hairgead bronnta ó dhaoine aonair chomh maith leo siúd
a sholáthair eagraíochtaí carthanachta.
Review of the Ambulance Service
Mr Beggs asked the Minister
of Health, Social Services and Public Safety to explain (a) the delay
in implementing ‘Mapping the Road to Change - A strategic review of
the NI Ambulance Service’ and (b) the reason for an additional consultation
document ‘Implementation of the Strategic Review of the NI Ambulance
Service’.
(AQW 1623/01)
Ms de Brún: The Strategic Review of the Ambulance Service,
which was published in February 2000 made over 70 recommendations to
improve ambulance services.
Since then the Ambulance Service has made steady progress in taking
forward the rolling programme of change envisaged by the Strategic Review
Group. For example, proposals for the replacement of its existing mobile
radio structure with digital trunk radio are already well advanced,
as are plans for the introduction of a Medical Priority Dispatch System.
Over the past three years an additional £6million has been made available
to enable the Ambulance Service to modernise its fleet. This money has
contributed to the purchase of over 80 new A&E and patient care
vehicles bringing to over 100 the total number of new vehicles brought
into service since 1999. Progress has also been made on a range of management
and personnel issues.
Further work was needed to fully cost and provide a more detailed analysis
of a number of the key recommendations to facilitate implementation.
This work has now been completed and the document "Implementation
of the Strategic Review of the Ambulance Service" brings forward
fully costed proposals for implementing the major changes needed to
modernise ambulance services. This period of consultation provides an
opportunity to inform the public and interested parties about the outcome
of the earlier consultation process and to invite their views on the
new proposals.
Rinne an tAthbhreithniú Straitéiseach ar an tSeirbhís
Otharchairr a bhí foilsithe i mí Feabhra 2000 breis agus
70 moladh leis na seirbhísí otharchairr a fheabhsú.Ó
shin i leith bhí an tSeirbhís Otharcharr ag dul chun cinn
go seasmhach leis an chlár leanúnach athruithe a thabhairt
chun tosaigh mar a chonacthas don Ghrúpa Athbhreithnithe Straitéisigh.
Mar shampla, tá moltaí ann chun bonneagar láithreach
raidió a athsholáthar le trunc-raidió digiteach
i bhfad chun cinn cheana féin mar aon leis na pleananna don Chóras
Seolta de réir Tosaíochta Míochaine a thabhairt
isteach. Le trí bliana anuas cuireadh £6 milliún breise
ar fáil sa dóigh go mbeadh an tSeirbhís Otharchairr
in ann a cabhlach a nuachóiriú. Chuidigh an t-airgead
le breis agus 80 feithicil nua T&É agus Cúram Othar
a cheannach a chiallaíonn go bhfuil breis agus 100 feithicil
nua tugtha isteach le haghaidh úsáidte ó bhí
1999 ann. Rinneadh dul chun cinn ar réimse ceisteanna bainisteoireachta
agus pearsanra.
Bíodh sin mar atá, bhí obair bhreise de dhíth
chomh maith chun costais roinnt de na príomh-mholtaí a
obair amach agus anailís níos mine chun cur i bhfeidhm
a éascú. Tá an obair seo críochnaithe agus
tugann an doiciméad "An tAthbhreithniú Straitéiseach
ar an tSeirbhís Otharchairr a Chur i bhFeidhm" moltaí
chun tosaigh a bhfuil an costais oibrithe amach chun mórathruithe
a chur i bhfeidhm atá de dhíth leis na seirbhísí
otharchairr a nuachóiriú. Tugann an tréimhse comhairlithe
deis chun an pobal agus páirtithe leasmhara a chur ar an eolas
faoi thoradh an phróisis comhairlithe a tharla níba luaithe
agus fáilte a chur roimh na barúlacha s’acu ar na moltaí
nua.
Funding for Nursing and Residential Homes
Mr Berry asked the Minister
of Health, Social Services and Public Safety what action she is taking
to provide additional funding for nursing homes in light of her recent
meeting with the Registered Nursing Homes Association and Registered
Homes Confederation.
(AQW 1793/01)
Ms de Brún: I am very much aware of the pressures facing
nursing and residential homes. I am at present looking, in the context
of my budget for 2002-03, at the scope for allocating some extra money
to the sector.
Is maith a thuigim na brúnna ar altraí i dtithe altranais
agus i dtithe cónaithe. Faoi láthair tá mé
ag scrudú, i gcomhthéacs an bhuiséid s’agam do
2002 – 03, na bhféidearthachtaí chun tuilleadh airgid
a dháileadh ar an earnáil.
Ambulance Service Union
Mr Berry asked the Minister
of Health, Social Services and Public Safety what plans are in place
to recognise the Ambulance Service Union.
(AQW 1795/01)
Ms de Brún: I am informed that the Ambulance Service
Trust has no plans at present to recognise the Ambulance Service Union.
Tugadh le fios dom nach bhfuil pleananna ag an Iontaobhas Seirbhís
Otharchairr faoi láthair leis an Cheardchumann Seirbhís
Otharchairr a aithint.
Children Diagnosed with Asperger’s Syndrome
Mr Adams asked the Minister
of Health, Social Services and Public Safety to detail the number of
children diagnosed with Aspergers Syndrome, by parliamentary constituency.
(AQW 1803/01)
Ms de Brún: This information is not collected centrally.
Ní bhailítear an t-eolas seo go lárnach.
Children Diagnosed with Autism
Mr Adams asked the Minister
of Health, Social Services and Public Safety to detail the number of
children diagnosed with Autism, by parliamentary constituency.
(AQW 1804/01)
Ms de Brún: This information is not collected centrally.
Ní bhailítear an t-eolas seo go lárnach.
Antibiotic Resistant Infections
Mr Weir asked the Minister
of Health, Social Services and Public Safety to detail the number of
cases of antibiotic resistant infections which have occurred in each
Health Trust in each of the last three years.
(AQW 1807/01)
Ms de Brún: Information is only routinely collected on
occurrences of Methicillin Resistant Staphylococcus Aureus (MRSA) bacteraemia
which are isolated in hospital laboratories. Figures for the last three
calendar years for each hospital laboratory are detailed in the table
below.
Laboratory |
1999 |
2000 |
2001 (1) |
Altnagelvin Area |
3 |
22 |
20 |
Antrim Area |
16 |
16 |
27 |
Belfast City Hospital |
20 |
27 |
51 |
Belvoir Park |
0 |
0 |
0 |
Causeway |
0 |
1 |
7 |
Craigavon Area |
1 |
10 |
17 |
Daisy Hill |
0 |
0 |
0 |
Erne |
1 |
2 |
1 |
Mater |
11 |
4 |
9 |
Musgrave |
0 |
1 |
0 |
Royal Victoria |
11 |
27 |
32 |
Tyrone County |
0 |
0 |
0 |
Ulster Hospital |
5 |
20 |
19 |
Total |
68 |
130 |
183 |
(1) Provisional
Ní bhailítear eolas ach go rialta ar theagmhais de bhaictéireacht
Staphylococcus Aureus Methicillin Frithbheartach (SAMF) atá ar
leithlis i saotharlanna otharlainne. Léirítear go mion
na figiúirí do na trí bliana deireanacha sa tábla
thíos de réir gach saotharlann otharlainne.
Saotharlann |
1999 |
2000 |
2001 (1) |
Ceantar Alt na nGealbhán |
3 |
22 |
20 |
Ceantar Aontroma |
16 |
16 |
27 |
Otharlann Chathair Bhéal Feirste |
20 |
27 |
51 |
Páirc Belvoir |
0 |
0 |
0 |
An Clochán |
0 |
1 |
7 |
Ceantar Craigavon |
1 |
10 |
17 |
Daisy Hill |
0 |
0 |
0 |
An Éirne |
1 |
2 |
1 |
Mater |
11 |
4 |
9 |
Musgrave |
0 |
1 |
0 |
Ríoga Victeoiria |
11 |
27 |
32 |
Contae Thír Eoghain |
0 |
0 |
0 |
Otharlann Uladh |
5 |
20 |
19 |
Iomlán |
68 |
130 |
183 |
(1) Sealadach
MMR Vaccination
Mr Shannon asked the Minister
of Health, Social Services and Public Safety how many children have
not received the MMR vaccination in each of the last three years per
Board area.
(AQW 1813/01)
Ms de Brún: Information is available on numbers of children
aged two years or under who were resident in each Board on 31 March
in each year and who had not had MMR immunisation before their second
birthday. These figures are detailed in the table below.
Year |
Board |
|
EHSSB |
WHSSB |
NHSSB |
SHSSB |
Total |
1998/99 |
1,207 |
483 |
307 |
377 |
2,374 |
1999/00 |
988 |
423 |
343 |
357 |
2,111 |
2000/01 |
875 |
346 |
282 |
346 |
1,849 |
Tá eolas ar fáil ar líon na bpáistí
2 bliain d’aois nó níos óige a chónaigh
i ngach Bord ar 31 Márta i ngach bliain agus nach bhfuair imdhíonadh
MMR roimh a ndara breithlá. Léirítear go mion na
figiúirí seo sa tábla thíos.
Bliain |
Bord |
|
BSSSO |
BSSSI |
BSSST |
BSSSD |
Iomlán |
1998/99 |
1,207 |
483 |
307 |
377 |
2,374 |
1999/00 |
988 |
3423 |
343 |
357 |
2,111 |
2000/01 |
875 |
346 |
282 |
346 |
1,849 |
Budget for Disability Learning
Mr Shannon asked the Minister
of Health, Social Services and Public Safety to detail the budget for
Disability Learning in the last two years.
(AQW 1814/01)
Ms de Brún: Total resources made available for the Learning
Disability programme of care in the last two financial years was as
follows:
|
£million |
1999-2000 |
94.3 |
2000-2001 |
99.9 |
Seo a leanas na hacmhainní iomlána curtha ar fáil
don chlár cúraim Mhíchumais Fhoghlama sa dá
bhliain deireanacha airgeadais:
|
£milliún |
1999-2000 |
94.3 |
2000-2001 |
99.9 |
Disability Learning: EHSSB 2002
Mr Shannon asked the Minister
of Health, Social Services and Public Safety what assistance is she
offering for Disability Learning in the EHSSB in 2002.
(AQW 1815/01)
Ms de Brún: I will be announcing my detailed deployment
of the 2002-03 HPSS budget shortly. I have already indicated, however,
that I shall wish to see investment in community services for people
with a learning disability, so that they can enjoy more suitable living
arrangements outside hospital (where that seems appropriate). The Eastern
Health and Social Services Board will receive its equitable share of
the funding made available for that purpose.
Beidh mé ag fógairt dáileadh mion mo bhuiséid
SSSP don bhliain 2002-03 ar ball. Chuir mé in iúl cheana
féin áfach gur mhian liom feachaint chuige go mbeadh infheistíocht
i seirbhísí pobail do dhaoine a bhfuil míchumas
foghlama orthu sa dóigh go mbeidh siad ábalta cónaí
i gcóiríocht mhaireachtála níos fóirsteanaí
taobh amuigh den otharlann (mar a meastar go bhfuil sin cuí).
Gheobhaidh Bord Sláinte agus Seirbhísí Sóisialta
an Oirthir a sciar cothrom féin den mhaoiniú a chuirfear
ar fáil don chuspóir sin.
NHS Direct
Mr Morrow asked the Minister
of Health, Social Services and Public Safety what plans are in existence
to extend the ‘NHS Direct’ service, presently available in other parts
of the UK, to Northern Ireland.
(AQW 1816/01)
Ms de Brún: I have no plans at present to introduce NHS
Direct here. The introduction of an equivalent scheme here would cost
around £3 million per year. I am not convinced that this would give
the best value for money, bearing in mind the other competing bids for
Health Service resources.
Níl pleananna agam NHS Direct a thabhairt isteach anseo faoi
láthair. Chosnódh a mhacasamhail de scéim thart
faoi £3 milliún sa bhliain. Níl mé cinnte gur seo
an luach is fearr ar an airgead, ag cur san áireamh tairiscintí
eile atá san íomaíocht d’acmhainní seirbhísí
sláinte.
MMR Vaccinations
Mr Shannon asked the Minister
of Health, Social Services and Public Safety how many MMR vaccinations
have been administered in each Board area in the last three years.
(AQW 1817/01)
Ms de Brún: I refer the Member to the answer given to
AQW 1603/01.
Treoraím an Ball do mo fhreagra a thug mé ar AQW 1603/01.
Greenwood House Assessment Centre
Mrs I Robinson asked the Minister
of Health, Social Services and Public Safety what assistance has she
given in relation to the ongoing problems of providing adequate occupational
therapy provision at Greenwood House Assessment Centre.
(AQW 1822/01)
Ms de Brún: In light of the problems at Greenwood House
Assessment Centre, the Green Park Healthcare Trust made available two
occupational therapists on a part-time basis to assist with the workload.
The Eastern Health and Social Services Board is undertaking a review
of occupational therapy services to develop a longer term strategy to
address the wider issues of the shortfall in occupational therapy services.
Mar gheall ar na fadhbanna ag Ionad Measúnaithe Theach Greenwood,
chuir Iontaobhas Cúram Sláinte na Páirce Glaise
beirt Theiripithe Saothair ar fáil ar bhonn páirtaimseartha
le cuidiú leis an ualach oibre. Tá athbhreithniú
á dhéanamh ag Bord Sláinte agus Seirbhísí
Sóisialta an Oirthir ar sheirbhísí teiripe chun
straitéis fhadtéarmach a fhorbairt le dul i ngleic leis
na ceisteanna níos leithne maidir le heaspa seirbhísí
teiripe saothair.
Overseas Adoptions
Mr Hilditch asked the Minister
of Health, Social Services and Public Safety, in respect of overseas
adoptions, to detail, for each of the last 3 years, (a) the number of
applications; (b) the number of applications that have been successful;
(c) the number that have been refused by the trusts; (d) the average
length of time for the completion of each application; and (e) the average
cost of the process.
(AQW 1823/01)
Ms de Brún: The information is as follows:
Year |
Number of applications |
Number
successful
|
Number
refused
|
Average time for completion
(months)
|
Average
Cost (£)
|
1999 |
45 |
15 |
3 |
11.5 |
2,400 |
2000 |
34 |
25 |
1 |
13 |
2,340 |
2001 |
28 |
15 |
2 |
11.5 |
3,000 |
Total |
107 |
55 |
6 |
- |
- |
Mar a leanas atá an t-eolas:
Bliain |
Líon iarratas |
Líon ar éirigh leo |
Líon a diúltaíodh |
Meánam le críochnú
(míonna)
|
Meánchostas (£) |
1999 |
45 |
15 |
3 |
11.5 |
2,400 |
2000 |
34 |
25 |
1 |
13 |
2,340 |
2001 |
28 |
15 |
2 |
11.5 |
3,000 |
Iomlán |
107 |
55 |
6 |
- |
- |
Beta Interferon: Multiple Sclerosis
Mr Armstrong asked the Minister
of Health, Social Services and Public Safety if she is considering the
allocation of funding for Beta Interferon products to relieve the suffering
of Multiple Sclerosis patients in view of the recent announcement by
the Rt Hon Alan Milburn, Secretary of State for Health.
(AQW 1828/01)
Ms de Brún: I am aware of Mr Milburn’s recent announcement.
Under the scheme that he announced, the Department of Health in England
and the National Assembly in Wales are committed to increasing access
to these drugs from their current level of 3% to 12%. This is in line
with Association of British Neurologists guidance as to the proportion
of MS patients who are likely to benefit from such treatment
The level of provision already stands at 12% here. Therefore, I would
expect that our current level of budget would be maintained. However,
we are participating in the Risk Share Scheme that Mr Milburn announced
and expect this to lower the cost of this drug treatment as it comes
into operation.
Tá fógra déanach an Uasail Milburn ar eolas agam.
De réir na scéime a d’fhógair sé, tá
an Roinn Sláinte i Sasana agus an Tionól Náisiúnta
sa Bhreatain Bheag geallta do mhéadú i so-aimsiú
na ndrugaí seo óna leibhéal reatha de 3% go 12%.
Tá sé seo de réir treoir Chumann na Néareolaithe
Briotanacha maidir le coibhneas na n-othar Ilscléaróise
is dócha a bhainfidh tairbhe as a leithéid de chóireáil.
Tá leibhéal an tsoláthair anseo ar 12% cheana
féin. Mar sin de, bheinn ag súil go gcothófaí
leibhéal reatha ár mbuiséid. Tá muid ag
glacadh páirte sa Scéim Risk Share a d’fhógair
an tUasal Milburn áfach agus tá muid ag súil go
n-ísleoidh sí seo costas chóireáil na ndrugaí
seo agus í ag teacht i bhfeidhm.
Hospital Consultants
Ms McWilliams asked the Minister
of Health, Social Services and Public Safety to detail (a) the number
of hospital consultants who have private practices in each medical specialist
field; and (b) the total number of consultants in each of these fields.
(AQW 1829/01)
Ms de Brún: In answer to part (a) this information is
not collected centrally and could only be obtained at disproportionate
cost. The information for (b) is detailed in the table over.
Hospital based consultants1 by department September 2001
|
Headcount |
WTE |
Accident and emergency |
19 |
18.05 |
Anaesthetics |
159 |
154.11 |
Radiology/clinical oncology |
12 |
11.81 |
Cardiology |
20 |
19.55 |
Dermatology |
12 |
11.64 |
General medicine |
85 |
81.1 |
Genito-urinary medicine |
3 |
2.91 |
Geriatrics |
24 |
23.73 |
Neurology |
10 |
9.73 |
General/other |
15 |
12.37 |
Nephrology |
8 |
8 |
Rheumatology and rehabilitation |
7 |
6.82 |
Obstetrics/gynaecology |
57 |
52.52 |
Paediatrics |
37 |
36.32 |
Pathology group |
62 |
61.18 |
Psychiatry |
76 |
70.82 |
Radiology |
65 |
62.74 |
Cardiac/thoracic surgery |
6 |
5.55 |
General surgery |
75 |
72.43 |
Neuro surgery |
5 |
4.41 |
Ophthalmic surgery |
19 |
17.92 |
Otolaryngology |
24 |
22.66 |
Paediatric surgery |
4 |
3.82 |
Plastic surgery |
7 |
6.64 |
Orthopaedic surgery |
32 |
31.19 |
Urology |
9 |
8.55 |
Dental group |
12 |
9.91 |
Total |
864 |
826.48 |
1 Figures exclude bank
staff that maintain service delivery by covering staffing shortfalls
and fluctuating workloads. Figures also exclude community based and
non-hospital based consultants.
Mar fhreagra ar pháirt (a) ní bhailítear an t-eolas
seo go lárnach agus ní féidir é a fháil
ach ar chostas díréireach. Tá an t-eolas do (b)
léirithe sa tábla thíos.
Lia Comhairleach1 Otharlannbhunaithe de réir roinne
Meán Fómhair 2001
|
Líon |
CL |
Timpistí agus Éigeandáil |
19 |
18.05 |
Ainéistéisigh |
159 |
154.11 |
Raideolaíocht/Oinceolaíocht chliniciúl |
12 |
11.81 |
Cairdeolaíocht |
20 |
19.55 |
Deirmeolaíocht |
12 |
11.64 |
Míochaine ghinearálta |
85 |
81.1 |
Míochaine Úraiginitiúil |
3 |
2.91 |
Geiriaitric |
24 |
23.73 |
Néareolaíocht |
10 |
9.73 |
Ginearálta/eile |
15 |
12.37 |
Neifreolaíocht |
8 |
8 |
Réimeiteolaíocht agus athshlánaithe |
7 |
6.82 |
Cnáimhseachas / gínéiceolaíocht |
57 |
52.52 |
Péidiatraic |
37 |
36.32 |
Grúpa paiteolaíochta |
62 |
61.18 |
Síciatracht |
76 |
70.82 |
Raideolaíocht |
65 |
62.74 |
Máinliacht chairdiach / thóracsach |
6 |
5.55 |
Máinliacht ghinearálta |
75 |
72.43 |
Néarmháinliacht |
5 |
4.41 |
Máinliacht oftalmach |
19 |
17.92 |
Otalaraingeolaíocht |
24 |
22.66 |
Máinliacht phéidiatraiceach |
4 |
3.82 |
Máinliacht phlaisteach |
7 |
6.64 |
Máinliacht ortaipéideach |
32 |
31.19 |
Úreolaíocht |
9 |
8.55 |
Grúpa fiaclóireachta |
12 |
9.91 |
Iomlán |
864 |
826.48 |
1 Níl san áireamh
sna figiúirí foireann bainc a chothaíonn soláthar
seirbhíse trí easpa foirne agus athruithe sna hualaigh
oibre a chlúdach. Níl san áireamh sna figiúirí
ach oiread lianna comhairleacha lonnaithe sa phobal agus lianna comhairleacha
nach lianna otharlannbhunaithe iad.
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